Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $90.72 / $90.72 / $145.06	Facility	26	$90.72	$90.72	$145.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $351.80 / $425.00 / $565.70	Professional		$351.80	$425.00	$565.70
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $82.02 / $124.01 / $154.00	Professional	26	$82.02	$124.01	$154.00
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $266.08 / $316.39 / $430.37	Professional	TC	$266.08	$316.39	$430.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $691.72 / $853.63 / $895.21	Professional		$691.72	$853.63	$895.21
BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $166.35 / $205.30 / $214.58	Professional	26	$166.35	$205.30	$214.58
BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $525.36 / $648.33 / $679.91	Professional	TC	$525.36	$648.33	$679.91
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $97.25 / $97.25 / $97.25	Facility	26	$97.25	$97.25	$97.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $509.51 / $825.24 / $1,397.68	Professional		$509.51	$825.24	$1,397.68
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $89.88 / $156.49 / $217.41	Professional	26	$89.88	$156.49	$217.41
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $396.41 / $623.64 / $1,193.73	Professional	TC	$396.41	$623.64	$1,193.73
Medica Facility/Professional Facility Modifier 26 Low / Median / High Price $796.16 / $796.16 / $796.16	Facility	26	$796.16	$796.16	$796.16
Medica Facility/Professional Professional Modifier Low / Median / High Price $515.24 / $1,094.04 / $5,311.18	Professional		$515.24	$1,094.04	$5,311.18
Medica Facility/Professional Professional Modifier 26 Low / Median / High Price $90.72 / $172.16 / $808.00	Professional	26	$90.72	$172.16	$808.00
Medica Facility/Professional Professional Modifier TC Low / Median / High Price $437.02 / $879.22 / $4,858.99	Professional	TC	$437.02	$879.22	$4,858.99
United Facility/Professional Professional Modifier Low / Median / High Price $425.81 / $852.08 / $1,306.47	Professional		$425.81	$852.08	$1,306.47
United Facility/Professional Professional Modifier 26 Low / Median / High Price $92.39 / $172.16 / $226.11	Professional	26	$92.39	$172.16	$226.11
United Facility/Professional Professional Modifier TC Low / Median / High Price $364.21 / $657.75 / $1,034.38	Professional	TC	$364.21	$657.75	$1,034.38